Publications by authors named "Saverio G Parisi"

This study investigates the prevalence and patterns of transmitted drug resistance mutations (TDRMs) and HIV-1 subtypes among antiretroviral therapy (ART) naïve individuals in Veneto, Italy, from 2017 to 2024. This research aims to understand the dynamic landscape of TDRMs and HIV-1 genetic diversity to inform treatment strategies effectively. We included all adult ART-naïve people with HIV (PWH) from seven infectious disease units in Veneto, Italy.

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Article Synopsis
  • Cryptic species are fungi that can cause human diseases and are resilient in diverse environments, often developing resistance to antifungal treatments used in agriculture.
  • Advances in molecular techniques have improved the identification of these pathogens, but their full significance in clinical settings remains understudied.
  • A multidisciplinary approach, known as the One Health initiative, is essential for understanding and managing these fungi, as their impact spans human, animal, and environmental health, highlighting the need for enhanced awareness and research in this area.
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Background: There is little information regarding the hepatitis B virus (HBV), vaccination status, and hepatitis B exposure in Italian women's jails. We aimed to describe the HBV exposure and HBs antibody (anti-HBs) protection levels in female prisoners.

Material And Methods: A retrospective multicentric study was performed in Italian prisons from 2021 to 2023.

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Hepatitis B Core antibody (HBcAb) positivity is the surrogate marker of hepatitis B occult infection. This condition is not a contraindication for switching to two-drug (2DR) antiretroviral therapy; however, the removal of tenofovir may contribute to poor control of HBV replication. A multicentre retrospective cohort study investigated the impact of HBcAb positivity on HIV control in patients switching to a 2DR with Lamivudine and Dolutegravir (3TC-DTG).

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Candida auris has emerged globally as a multidrug-resistant health care-associated fungal pathogen. In the literature, nosocomial outbreaks are reported worldwide. In addition, C.

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Background: The introduction and evolution of antiretrovirals has changed the panorama of comorbidities in people living with HIV (PLWH) by reducing the risk of AIDS-defining cancers (ADC). By contrast, due to ageing and persistent inflammation, the prevalence and incidence of non-AIDS-defining cancers have significantly increased. Therefore, we aimed at describing cancer epidemiology in our cohort over 28 years.

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is a ubiquitous Gram-negative bacterium renowned for its resilience and adaptability across diverse environments, including clinical settings, where it emerges as a formidable pathogen. Notorious for causing nosocomial infections, presents a significant challenge due to its intrinsic and acquired resistance mechanisms. This comprehensive review aims to delve into the intricate resistance mechanisms employed by and to discern how these mechanisms can be inferred by analyzing sensitivity patterns displayed in antibiograms, emphasizing the complexities encountered in clinical management.

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Switching to bictegravir, emtricitabine, and tenofovir alafenamide (BIC/FTC/TAF) from other antiretroviral regimens is safe and effective for virologically suppressed people living with HIV (PLWH). The term virological suppression includes both low but detectable HIV viremia and undetectable HIV viremia, and the latter is possibly associated with a lower immune activation state. Herein, we describe a 24-month follow-up of experienced PLWH with plasma HIV RNA undetectable or detectable < 50 copies/ml switching to BIC/FTC/TAF.

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Live virus neutralization is the gold standard to investigate immunity. This prospective observational study aimed to determine the magnitude of response against the original B.1 lineage and against the BA.

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Article Synopsis
  • This study looked at how having certain antibodies (HBcAb) affects HIV treatment in patients who switched to a two-drug therapy with lamivudine.
  • Out of 160 patients, those with HBcAb had a much lower chance of controlling their HIV compared to those without these antibodies.
  • The study found that patients with HBcAb were more likely to have problems with their HIV levels coming back, especially after switching treatments.
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  • The study analyzed IgG antibody levels in HIV+ patients on antiretroviral therapy after receiving two and three doses of the BNT162b2 mRNA vaccine, focusing on the impact of their HIV viremia levels and CD4+ cell counts.
  • Out of 184 enrolled patients, various patterns of HIV viremia were found, with 92.9% achieving optimal IgG responses six months after the third dose, and the initial response at two months significantly predicted outcomes at six months.
  • Findings suggest that individuals with a low nadir value of CD4+ cells (≤ 330 cells/mm3) were less likely to have an optimal immune response, indicating that personalized vaccination strategies might be beneficial for HIV
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We report the case of successful use of cefiderocol (FDC) in a (CPKP) post-surgical meningitis in a 44-year-old man treated with antimicrobial therapy and external ventricular drainage (EVD). The patient was known for being colonised by CPKP; for this reason, therapy with ceftazidime/avibactam (CZA) plus fosfomycin and linezolid was started. After an initial response a CZA resistant CPKP strain was isolated from CSF culture, so the antibiotic therapy was modified to FDC with trimethoprim/sulfamethoxazole for 14 days, and EVD was replaced.

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HIV and hepatitis B virus (HBV) coinfection is relatively common. Initiation of antiretroviral therapy (ART) in people with HIV (PWH) causes a progressive restoration of cell-mediated immune functions. In the presence of overt or occult coinfections, immune restoration might lead to immune reconstitution inflammatory syndrome (IRIS).

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The results of tuberculosis (TB) screening and reactivation in a cohort of 323 adult patients undergoing haematopoietic stem cell transplantation (HSCT) from 2015 to 2019 at the University Hospital of Tor Vergata, Rome, Italy, were reported. A total of 260 patients, 59 (18.3%) autologous and 264 (81.

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We report the time course of neutralizing antibody (NtAb) response, as measured by authentic virus neutralization, in healthcare workers (HCWs) with a mild or asymptomatic SARS-CoV-2 (severe acute respiratory syndrome coronavirus 2) infection diagnosed at the onset of the pandemic, with no reinfection throughout and after a three-dose schedule of the BNT162b2 mRNA vaccine with an overall follow-up of almost two years since infection. Forty-eight HCWs (median age 47 years, all immunocompetent) were evaluated: 29 (60.4%) were asymptomatic.

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Thrombosis of small and large vessels is reported as a key player in COVID-19 severity. However, host genetic determinants of this susceptibility are still unclear. Congenital Thrombotic Thrombocytopenic Purpura is a severe autosomal recessive disorder characterized by uncleaved ultra-large vWF and thrombotic microangiopathy, frequently triggered by infections.

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We described the long-term decay of neutralizing antibody (NtAb) to the wild-type and Delta SARS-CoV-2 variant after three antigen stimulations (mild or asymptomatic natural infection followed by two doses of the BNT162b2 mRNA vaccine after a median of 296 days) in immunocompetent healthcare workers (HCWs). Live virus microneutralization against the B.1 and Delta SARS-CoV-2 variants was performed in VERO E6 cell cultures.

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We aimed to investigate neutralizing antibody titers (NtAbT) to the P.1 and B.1 SARS-CoV-2 variants in a cohort of healthy health care workers (HCW), including 20 previously infected individuals tested at baseline (BL, after a median of 298 days from diagnosis) and 21 days after receiving one vaccine dose (D1) and 15 uninfected subjects tested 21 days after the second-dose vaccination (D2).

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Article Synopsis
  • This study analyzed the levels of neutralizing antibodies (NtAb) among healthcare workers (HCWs) who were either vaccinated or had previously contracted COVID-19.
  • The results indicated that vaccinated HCWs without prior infection had significantly lower NtAb levels than those who had been infected, particularly after completing the vaccine doses.
  • The findings suggest that administering a third vaccine dose for uninfected HCWs is advisable to maintain antibody levels, as a substantial decline in antibodies was observed over time, whereas most previously infected HCWs still had detectable antibodies after 13 months.
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  • - The study tracked the neutralizing antibody (NtAb) levels in healthcare workers who had mild or no symptoms of SARS-CoV-2.
  • - NtAb levels decreased over time but were still detectable in most participants even 7 months after their COVID-19 diagnosis.
  • - This suggests that while antibody levels decline, some level of immune response remains in individuals after recovering from COVID-19.
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Objectives: To measure SARS-CoV-2 neutralizing antibody (NtAb) titres in previously infected or uninfected health care workers who received one or two doses of BNT162b2 mRNA COVID-19 vaccine.

Methods: NtAbs were titrated as dose-inhibiting 50% virus replication (ID) by live virus microneutralization. We evaluated 41 health care workers recovering from mild or asymptomatic infection at first vaccination dose (T1_inf) and 21 days later (T2_inf).

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We described short-term HIV tropism changes occurring in peripheral blood mononuclear cells and the correlations with HIV DNA value in HIV-HCV co-infected patients cured for HCV disease and with undetectable HIV viremia or residual viremia (RV). Plasma HIV RNA, cellular HIV DNA and tropism were evaluated pre-HCV treatment (baseline, BL) and at 12(T1) and 24(T2) weeks after HCV treatment start. V3 sequences were interpreted using Geno2pheno and classified as R5 only if all three sequences had an FPR ≥ 10% and as X4 when at least one replicate sequence had an FPR < 10%.

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